Spontaneous coronary artery dissection presenting as massive brain stroke: Happy landing with percutaneous coronary intervention

Spontaneous coronary artery dissection presenting as massive brain stroke: Happy landing with percutaneous coronary intervention

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Spontaneous coronary artery dissection (SCAD) presenting as stroke is indeed an extremely rare scenario.We hereby describe our experience of a case of SCAD in a 29-year-old man who presented with a massive brain stroke.Based on the neurological findings, the diagnosis of left hemiparesis, left upper motor neuron facial palsy, and acute right middle Ski de fond - Homme - Bottes - Back country cerebral artery infarct was made.

Coronary angiography displayed a large type B dissection along with heavy burden of thrombus and intimal hematoma in proximal to the mid-left anterior descending artery Frothing Cups (LAD).SCAD of the LAD was managed with percutaneous coronary intervention using a provisional stenting approach with two overlapping drug-eluting stents.With this case, the author would like to outline vital clinical insights for clinicians managing such a challenging and perplexing patient cohort.